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Characteristics and outcomes associated with two asthma quality of care measures

Justin Blackburn1, Pradeep Sharma2, Ye Liu2

  • 1Department of Health Policy and Management, Richard M. Fairbanks School of Public Health at IUPUI, Indiana University, Indianapolis, IN, USA.

The Journal of Asthma : Official Journal of the Association for the Care of Asthma
|October 20, 2021
PubMed

Insights

Asthma quality measure non-attainment, particularly the Asthma Medication Ratio (AMR), is linked to increased emergency department (ED) visits and hospitalizations. Addressing these gaps can improve pediatric asthma care and reduce healthcare utilization.

Area of Science:

  • Pediatric Health
  • Healthcare Quality Improvement
  • Asthma Management

Background:

  • Asthma quality measures are crucial for evaluating and improving pediatric asthma care.
  • Non-attainment of these measures may be associated with poorer health outcomes and increased healthcare utilization.

Purpose of the Study:

  • To investigate patient characteristics linked to non-attainment of asthma quality measures.
  • To assess the association between non-attainment of quality measures and asthma-related emergency department (ED) visits or inpatient hospitalizations (IPs).

Main Methods:

  • Analysis of administrative data from Alabama's ALL Kids program (2013-2019).
  • Calculation of non-attainment for Medication Management for Asthma (MMA) and Asthma Medication Ratio (AMR) quality measures.
  • Logit regression and marginal effects at the mean used to assess associations.

Main Results:

  • Over half of children (53.2%) did not meet the MMA measure, and 8.5% did not meet the AMR measure.
  • Prior ED visits or IPs increased the likelihood of non-attainment for both MMA and AMR.
  • AMR non-attainment was associated with a 6.1% increase in ED/IP utilization among continuously enrolled children.

Conclusions:

  • Non-attainment of the AMR measure is associated with increased risk of subsequent ED visits and hospitalizations.
  • Identifying patient characteristics linked to non-attainment provides actionable insights for targeted quality improvement initiatives in pediatric asthma care.
Abstract

Keywords:
CHIPemergency departmentepidemiologyquality measures

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